Did You

Know?

The Provider Healthcare Portal has replaced Web interChange. Enhancements in the Portal allow providers to add new service locations, enroll new rendering providers, and revalidate their enrollments online.

Claims May Suspend Temporarily for Edit
4185

The Centers for Medicare & Medicaid Services (CMS) quarterly
updates were released on Friday, January 6, 2012. The Indiana
Health Coverage Programs (IHCP) is reviewing the updates and
applying any necessary changes to the claims processing system.
Providers submitting medical and outpatient claims received on or
after January 6, 2012, may see claims suspend temporarily for edit
4185 - The claim did not process through National Correct
Coding Initiative (NCCI) editing. The claim will be reprocessed or
adjusted at a later date. Please monitor future remittance advice
statements for processing activity related to this claim.

HP anticipates the updates will be made to the claims processing
system by Tuesday, January 10, 2012. Once the updates are
completed, all claims in suspense for edit 4185 will be released
and processed for adjudication. HP will post an update if there are
any changes to this proposed schedule.